Lake, Elizabeth Page

Lake, Elizabeth Page is an individual health care provider with primary practice located at 2200 Fort Roots Dr , North Little Rock AR 72114-1709. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Psychiatric is her primary health care specialty. Lake, Elizabeth Page can be contacted via phone (501) 257-3169.

Contact Information

Primary practice address
2200 Fort Roots Dr North Little Rock AR 72114-1709
Phone: (501) 257-3169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-13989 Mississippi
Pharmacy Service Providers / Psychiatric 1835P1300X E-13989 Mississippi

Profile Details

NPI number 1316345937
LBN Legal business name Lake, Elizabeth Page
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2014
Last updated Mar 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316345937 NPPES
Mississippi MEDICAID 02920825

Popular Providers